Customer Care Specialist with 3+ years of experience supporting medical and dental insurance accounts. Skilled
in handling high-volume inbound and outbound calls, verifying patient medical information, explaining benefits,
processing claims, and assisting with billing and appointment scheduling. Strong ability to communicate with
both members and providers while ensuring accuracy, empathy, and compliance with HIPAA standards.
Proficient in CRM tools such as Salesforce and committed to delivering excellent customer service.
Experience: 2 - 5 years
Handling high-volume inbound and outbound calls with patients and providers in a professional and timely manner Explained charges, plan coverage, EOB details, and claim status to members and providers, improving understanding and resolving billing disputes professionally. Assisted members with billing inquiries, including premium payments for dental plans Supported patients with appointment scheduling, ensuring efficient condition and a positive service experience Verified patient eligibility and dental plan coverage
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